Anesthesia Secrets

The Secrets Series® is breaking new ground again. A two-color page layout, a portable size, and a list of the “Top 100 Secrets” in anesthesia help you to better meet the challenges they face today. And, at no extra charge, you’ll also receive online access to the complete contents of the text via Elsevier’s innovative STUDENT CONSULT website. You’ll still find all of the features you rely on the Secret Series® for-a question-and-answer format, lists, mnemonics, and tables and an informal tone that make reference fast and easy. No matter what questions arise in practice or while preparing for boards, this new volume has the answers you need-in print and online. Elsevier titles with STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience.

• All chapters updated or completely re-written for this edition.
• Incorporates 75 figures, 15 of which are new to this edition.
• Utilizes a new, more streamlined structure.
• Includes a list of the “Top 100 Secrets” to keep in mind during a rotation or residency.
• Features a compact trim size (5 1/4″ x 8 1/2″) for enhanced portability.
• Makes information easier to find with a two-color page layout and “Key Points” boxes.
• Identifies useful websites to make it easy to find additional information on a specific topic, and provides live links in the online version.
• Uses bulleted lists, tables, short answers, and a highly detailed index to expedite reference.
• Features pearls, tips, memory aids, and “secrets” from the experts.

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Oxford Handbook of Anaesthesia

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Oxford Handbook of Anaesthesia is the first truly concise yet comprehensive guide for anaesthetists, providing a practical approach to anaesthetic practice.

Written by experts within their fields, the emphasis is on providing clear and reliable advice on a range of surgical situations, advice that can be accessed within seconds. Also included is information on preoperative considerations such as consent, implications of pre-existing medical conditions, postoperative problems, along with a list of anaesthetic drug dosages, infusions, and normal values. The Oxford Handbook of Anaesthesia includes valuable advice for registrars and those sitting exams, whilst also being the one essential book for all anaesthetists, both junior and experienced.

Anesthesiology is a very rapidlydeveloping specialty. This book is one of the most simple yet nearly all the information available needed for quick review.

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Complications of Regional Anesthesia

Completely updated and expanded, this new edition of “Regional Anesthesia: Managing Complications”, 2nd edition is essential reading for advice on the prevention and management of complications associated with regional anesthesia and nerve blocks. In addition to comprehensive coverage of all potential pitfalls a practitioner may encounter, new material has been added comparing outcomes of regional and general anesthesia; regional anesthesia in the anesthetized patient; closed claims analyses; and practice guidelines to ensure patient safety.
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SHORT ANSWER QUESTIONS IN ANAESTHESIA

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Handbook of Anesthesiology

Despite the obvious fact that an anesthetic is a crucial part of any surgery, you will likely only meet briefly with your anesthesiologist before your procedure. Without more time to talk about your concerns, you’ll still have unanswered questions: How will you know I’m asleep? Is it possible to wake up during surgery? How will you monitor me during my surgery? What are the potential complications I should know about?
Written by a board-certified, veteran anesthesiologist, The Anesthesia Fact Book puts a sense of control back in your hands and will make you a more informed and more confident patient. Answering the most common questions you may have about the anesthetic process, it includes essential information on:
How general anesthesia works and how it differs from twilight, spinal, or epidural anesthesia
The credentials you should look for in your anesthesiologist
The key questions you should be sure to ask before your surgery
The heart and breathing monitors used during most surgeries
The risks associated with anesthesia delivered in a doctor’s office

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Principles and Practice of Pharmacology for Anaesthetists

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Smith’s Anesthesia for Infants and Children: Expert Consult Premium Edition (2011)

Review

Anesthesia & Analgesia called the 7th edition “a modern classic” and noted that “each chapter is well written, clear, and concise.”
“This book is user friendly, well illustrated, and well written. There are quite a few books on this topic, and they struggle to maintain a balance between breadth and depth. This book manages that beautifully. It is a wonderful addition to the library of anyone who practices pediatric anesthesia, either occasionally or on a regular basis.”- Tariq M. Malik, MD, Doody’s Review – 5 Stars!

Product Description

Smith’s Anesthesia for Infants and Children, 8th Edition, edited by Drs. Peter J. Davis, Franklyn P. Cladis, and Etsuro K. Motoyama, delivers all the state-of-the-art guidance you need to provide optimal perioperative care for any type of pediatric surgery. Now in full color throughout, it also features online access to an image and video library, including ultrasound-guided pediatric regional blocks, review-style questions, plus the complete fully-searchable text at expertconsult.com.

• Get expert guidance from leading experts covering both basic science and clinical practice for every aspect of pediatric anesthesia.
• Incorporate the latest clinical guidelines and innovations in your practice.
• Find key facts fast with quick-reference appendices: drug dosages, growth curves, normal values for pulmonary function tests, and a listing of common and uncommon syndromes.

• Access the complete contents and illustrations online at expertconsult.com – fully searchable!
• Watch online video demonstrations of ultrasound-guided and conventional pediatric regional blocks, airway management, cardiac anesthesia, single-lung ventilation, neonatal surgery, and fetal surgery.
• Gain new insight into today’s hottest topics, including sleep-disordered breathing, cuffed endotracheal tubes, premedication, emergence agitation, postoperative vomiting, and new airway devices.
• Stay current with new chapters on ICU management, conjoined twins, and basic neonatal physiology, plus new coverage of pharmacology and monitoring techniques.
• Get outstanding visual guidance with full-color illustrations throughout the book.

The most comprehensive text for pediatric anesthesia is now improved with online access, video content and a full color text.
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Anesthesiology Board Review: Pearls of Wisdom

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Manual of Anesthesia Practice (Cambridge Pocket Clinicians)

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Basics of Anesthesia: Expert Consult – Saunders; 6th Edition (2011)

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Anesthesia and Uncommon Diseases 5th Edition

Avoid complications associated with unusual and complicated diseases with help from this classic source! Previously edited by Dr. Jonathan Benumof, Anesthesia and Uncommon Diseases, 5th Edition features new editorial leadership from Dr. Lee A. Fleisher, an acknowledged leader in the field of perioperative medicine and anesthesiology. Now with coverage of pediatric topics and fully revised chapters, most by new contributors, this edition brings you the latest knowledge and techniques. A new, more user-friendly page layout with algorithms, shaded boxes, and “Most Common” lists makes getting information much easier.
Includes new information on congenital heart disease, morbid obesity, neurological diseases, infectious diseases, trauma and acute care, geriatric patients, genetic and metabolic diseases, and burn patients.
Incorporates brand-new coverage of pediatric topics.
Provides sweeping updates throughout from many new contributors.
Offers a new, more user-friendly format with algorithms, shaded boxes, and “Most Common” lists.
With 45 additional contributing experts.
Review
Reviews of the Previous Edition “Excellent…This extremely useful reference source offers considerable practical information.” –Mayo Clinic Proceedings. “New Edition of a popular standard continues to be an organized, well-referenced, and quite readable text.” –Anesthesia and Analgesia.
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Clinical Anesthesia (Barash)

The widely acclaimed text Clinical Anesthesia is now in its Fifth Edition, with thoroughly updated coverage and a new, more user-friendly design. More than 100 leading experts cover every aspect of contemporary perioperative medicine in one comprehensive, clinically focused, clear, concise, and accessible volume.
New chapters in this edition cover genomic basis of perioperative medicine, office-based anesthesia, and disaster preparedness and bioterrorism. A new two-color page design enables readers to spot crucial information quickly. Each chapter opens with a numbered list of key points and the numbers are used in the margins to help readers locate information on those points.
Subscribe to Lippincott’s Interactive Anesthesia Library and get online access to the fully searchable content of eight critically acclaimed references in anesthesiology, critical care, and pain management.
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Noninvasive Mechanical Ventilation: Theory, Equipment, and Clinical Applications

Review

From the reviews: “This is a multiauthored review of noninvasive ventilation for acute and chronic respiratory failure. … Senior trainees and practitioners in pulmonary and critical care medicine are an appropriate audience for this work … . Chapters are clearly written and tables with complementary data reproduce well … . Each chapter includes key recommendations and a reference list from primary literature dating to within two years of publication. This is an excellent review of recent developments in respiratory care based on this therapy.” (David J. Dries, Doody’s Review Service, February, 2011)

From the Back Cover

Noninvasive mechanical ventilation is an effective technique for the management of patients with acute or chronic respiratory failure due to a variety of disorders. This comprehensive and up-to-date book explores all aspects of the subject. The opening sections are devoted to theory and equipment, with detailed attention to the use of full-face masks or helmets, the range of available ventilators, and patient-ventilator interactions. Clinical applications are then considered in depth in a series of chapters that address the use of noninvasive mechanical ventilation in chronic settings and in critical care, both within and outside of intensive care units. Due attention is also paid to weaning from conventional mechanical ventilation, potential complications, intraoperative applications, and staff training. The closing chapters examine uses of noninvasive mechanical ventilation in neonatal and pediatric care. This book, written by internationally recognized experts, will be an invaluable guide for both clinicians and researchers.

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A Practice of Anesthesia for Infants and Children: Expert Consult – Online and Print, 4th Edition

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Obstetric Anesthesia: Principles and Practice, 3rd Edition

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Anesthesia and Co-Existing Disease (Cambridge Pocket Clinicians)

Anesthesia and Co-existing Diseases provides a timely, rapid overview of common and uncommon co-morbidities that are encountered in the day-to-day practice of anesthesiology. It provides a guide to the perioperative assessment and anesthetic management of patients with widely prevalent co-morbidities such as hypertension, diabetes, obesity, myocardial ischemia, kidney and liver disease. It concisely outlines priorities for patients with special problems who are undergoing unrelated operative procedures, such as the obstetrical patient, the patient with prior organ transplantation, the adult patient with congenital heart disease, the spinal cord injured patient, the cancer patient with prior chemotherapy, the critically ill patient or the patient with a psychiatric disorder.

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Case Studies in Neuroanesthesia and Neurocritical Care (Cambridge Medicine)

Review
‘This textbook is very useful for teaching … we would wholeheartedly recommend this book to anaesthetic trainees and all clinicians involved in neuroanaesthesia or intensive care. It complements traditional neuroanaesthesia textbooks and would be an excellent portable book to dip in and out of during a busy clinical day.’ British Journal of Anesthesia
Book Description
Caring for patients with neurologic disease in the operating room and intensive care unit is challenging. Case Studies in Neuroanesthesia and Neurocritical Care provides physicians with an outstanding guide for managing a wide variety of clinical situations. It is an ideal way to prepare for both written and oral board examinations.
The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.
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Robotic-Assisted Radical Bladder Surgery Potentially Benefits Bladder Cancer Patients

About 30 percent of the more than 70,000 bladder cancer cases expected in 2012 are muscle invasive. In such cases, radical cystectomy is the preferred treatment. In a pilot trial, a team of investigators assessed the efficacy of open radical cystectomy (ORC) vs. robotic-assisted laparoscopic radical cystectomy (RARC). While there were no significant differences in treatment outcomes, RARC resulted in decreased estimated blood loss and shorter hospital stay compared to ORC. The results are published in the February 2013 issue of The Journal of Urology.

"In the last decade minimally invasive approaches including robotic-assisted approaches have emerged as viable surgical options for many urological malignancies with the promise of decreased morbidity with shorter hospital stays, faster recovery, and less narcotic analgesic requirements," says lead investigator Dipen J. Parekh, MD, Professor and Chairman of the University of Miami Miller School of Medicine's Department of Urology and Director of robotic surgery; formerly at the University of Texas Health Science Center at San Antonio.

The goal of the clinical trial was to provide preliminary data from a single institution's randomized trial that evaluated the benefits of robotic-assisted vs. open surgery in patients with invasive bladder cancer. The trial, conducted between July 2009 and June 2011, involved 47 patients and was performed at the University of Texas Health Science Center at San Antonio. Primary eligibility was based on candidacy for an open or robotic approach at the discretion of the treating surgeon. Forty patients were randomized individually and equally to either an ORC or RARC group using a computer randomization program. Each of the two study groups was similar in distribution of age, gender, race, body mass index, previous surgeries, operative time, postoperative complications, and final pathological stage.

Investigators evaluated five surgery outcome factors: Estimated blood loss, operative time from incision to closure, transfusion requirements, time to return of bowel function, and length of stay.

The robotic group experienced significantly decreased blood loss, accompanied by a trend toward faster return of bowel function, fewer hospitalizations beyond five days, and fewer transfusions.

"The strength of our study is the prospective randomized nature that eliminates selection biases that may have been present in prior retrospective analyses," says Dr. Parekh. "We also believe that our study demonstrates that a prospective randomized trial comparing traditional open and robotic approaches in bladder cancer is possible."

This investigative team has joined with several institutions nationally to build on its study and has started an advanced randomized clinical trial among multiple institutions to further compare and assess open vs. robotic-assisted radical cystectomy among patients with invasive bladder cancer. It plans to collect intermediate and long-term survival data from these same patients as well as data on quality of life, daily living activities, handgrip strength, and mobility.

How To Start The New Year Healthy

For a lot of people, the start of the New Year also means the start of a healthier lifestyle, which for many has to do with either losing weight or eating healthily. This can seem difficult or out of reach at first, but with a bit of motivation, dedication and discipline it is certainly possible.
The key to losing weight and staying fit is through identifying and changing bad lifestyle habits and behaviors.

Obesity is a serious problem in the United States, with nearly one third of the country's adults with a body mass index (BMI) of 30+ (considered as obese).

The weight-loss industry makes an absolute fortune in selling products to try and help people lose weight, but one of the main problems is discipline and consistency. Only 20 percent of Americans who diet and lose the desired amount of weight actually stay that way for more than a year.

According to Dr. Jessica Bartfield, who specializes in medical weight loss at Gottlieb Memorial Hospital, part of the Loyola University Health System:

"People need a motivation to lose weight and the new year is an opportunity to start fresh. Maybe it was the shock of seeing oneself in recent holiday photos, or not being able to fit into desired party attire that causes a vow to lose weight, and for many more it is a medical event such as a heart attack, the threat of diabetes or high blood pressure."

Bartfield belongs to a team of dedicated doctors who specialize in providing comprehensive surgical and non-surgical programs for weight reduction at The Loyola Center for Metabolic Surgery & Bariatric Care.

Behavioral change is one of the key factors in losing weight, with professional health advice being vital in helping people learn what to do, how to do it and how to maintain their behavior change.

Dr. Bartfield said "Behavior change is the cornerstone of healthy, successful weight loss and it takes about three months to establish a new behavior. Just as you learn to play a musical instrument from a skilled teacher, you need to learn how to lose weight from professionals. You need to practice and make mistakes until you get it right. At Loyola, a team of tried-and-true medical experts can teach you the skills you need to achieve and maintain behavior change."


 She compares making behavioral changes to playing a new musical instrument, each time you expect to hit the right note you might accidentally hit the wrong one. You just need to keep trying and trying until you eventually perfect it. With weight loss, you need to have a similar mindset - do not be put off by a few bumps along the way.

Dr. Bartfield and team identified the best weight loss behaviors by gathering and examining data from 4,000 Americans from The National Weight Control Registry (NWCR). They all lost 30 pounds and kept their weight down for at least five years.

What Are Most Effective Weight Loss Behaviors?

• Eat breakfast within one hour of waking up in the morning. Breakfast is the most important meal of the day and it boosts the body's metabolism by over 20%, which can really help with weight loss.
  
• Consistently measure how much you weigh. Try and weigh yourself each week and track how much weight you've either put on or lost, this will allow you to see what behaviors work for you.
  
• Try and exercise or do moderate physical activity for at least one hour every day. This does not necessarily mean doing cardio for one hour non-stop; a series of activities, such as vacuuming and going up the stairs can all add up to achieving this.
  
• Limit the amount of time you spend idle, watching TV. Try and limit this to a maximum of 10 hours a week. Instead, find activities that are more physically active, more than half of the NWCR members watched TV for fewer than 10 hours a week. Children who have a television in their room are much more likely to become obese, a recent study found.
  
• Make sure you are consistent with your diet plan and behavioral changes. It's no good to eat well and exercise for five days and then have a massive splurge afterwards; you will seriously undermine your progress. If you are consistent for at least 25 days per month, you can achieve substantial weight loss.
  
• Monitor how much physical activity you do during the day and do your best to make sure you make small changes in your life that increase your amount of physical activity. For example, try walking instead of using transportation whenever you can. A simple way to be more physically active is to spend less time in a car.

Aerobic exercises versus resistance training - if your initial aim is to lose weight, bear in mind that aerobic training is much more effective for burning fat than resistance training.